Whether you search with or without inverted commas, the results are identical; the  term ‘cat bite’ now returns the correct topic at the top, and the ‘cat scratch’ topic is not even on the first two pages of results. If a search of ‘cat bite’ did at that time return this irrelevant topic, then UTD was at fault.

 

The only point I was really making was the ‘cautionary tale’ one you underline.

 

Best,

 

Simon

 

 

I bet he didn’t search for the phrase “cat bite” using inverted commas. So he actually did a keyword search for cat AND bite. I haven’t read the article on cat scratch fever but it’s possible that these two words appear in that article and that’s why it was retrieved.

 

It’s useful as a cautionary tale to anyone who thinks that searching Google is the answer to everything. You can search Google but you need to discard the irrelevant hits. The junior doctor in this case obviously did not check all results.

 

 

 

The linked report specifies that “he searched for the phrase ‘cate bite’ and was directed to a diagnosis of cat scratch fever”. This is very wrong, and no longer the case, as we do get the correct topic on Animal bites. I was assuming it had been rectified since.

 

S

 

How is UTD’s indexing at fault here? By the sound of it, the end-user accepted a predictive text suggestion. I’ve just tested this. If I enter cat scratch, I’m led to Treatment of cat scratch disease. If on the other hand I enter cat bite, then I’m taken Animal bites: Evaluation and management. It sounds, though we should not prejudge any investigations that may be taking place, as if there was an error in clerking the patient, or in recalling the clerking when the end-user searched UTD.

I’d love to use this as an case study in how using a librarian saves lives, but I think it would be stretching the point.

Tom

 

 

 

Thanks Rosemary – I’m looking at my UTD trainer certificate now, think I need to renew it LOL

 

Best wishes,

 

Simon

 

 

Simon,

 

There is a Topic Feedback link, a green tab on the right of the screen within the topic review (although not terribly obvious). When we had training on UpToDate, we were told that they welcome comments or corrections from clinicians.  I wonder how much of UpToDate the coroner was able to see.

 

Thanks,

Rosemary

 

 

 

Thanks for sharing this, very interesting – in the linked prevention of future deaths report is notes

 

I wonder if we’ll be seeing a feedback mechanism offered soon? I’m sure our users would like to be reassured about this (as would we).

 

I’ve just repeated the search and it seems to be fixed, so I can’t see exactly what happened previously. I think the lesson as far as UTD is concerned in this report is ‘searcher beware’, which applies to all searching really, so we have to emphasise it to our users across the board, and not assume some products are infallible.

 

It does make you wonder about fully integrating these products with the EPR.

 

Simon Alberici

Library and Knowledge Manager

 

Direct +44 (0)1534 442664

 

Government of Jersey

Health and Community Services | Quality and Safety Directorate

Harvey Besterman Education Centre Library | Peter Crill House | Gloucester St

St Helier | JE1 3QS

 

 

 

 

 

 

Hi All,

 

Here’s a grim tale and see last paragraph…BBC Newham General Hospital apology over woman's cat bite death https://www.bbc.co.uk/news/uk-england-london-48596508

 

Kind regards,

 

Jill

 

 

Dorset County Hospital Williams Avenue Dorchester Dorset  DT1 2JY

Jill Buckland Library Service Manager The Library, Education Centre   Tel: 01305 254615 [log in to unmask] www.dchft.nhs.uk

 

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